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目的研究改良新版产程图对自然分娩的作用效果。方法选取2014年1月-2016年1月,在深圳市福田区妇幼保健院自愿选择阴式分娩的低危初产妇1260例作为研究对象,将患者随机分为3组,各420例,分别采用3、4、6 cm为活跃起点的产程管理,对比3组患者的应用效果。结果对比3组孕妇产程时间,就第一产程及第二产程而言,6 cm组>4 cm组>3cm组,差异有统计学意义(P<0.05),第三产程在3组间比较差异无统计学意义(P>0.05)。3组孕妇中转手术、胎儿窘迫以及新生儿窒息差异无统计学意义(P>0.05),产后出血6 cm组要略高于其他两组,但差异仍无统计学意义(P>0.05)。结论采用以6 cm为活跃起点的改良新版产程图,能够显著减少第一产程中使用的镇静剂及缩宫素的应用,有效改善母婴结局,值得推广应用。
Objective To study the effect of improving the new birth chart on spontaneous labor. METHODS: From January 2014 to January 2016, 1260 low-risk primipara women who voluntarily chose vaginal delivery in Futian District Maternal and Child Health Hospital of Shenzhen were selected as the research object. The patients were randomly divided into 3 groups (420 cases each) 3,4,6 cm as an active starting point of labor management, compared with the effect of 3 groups of patients. Results Compared with the control group, the time of labor during the third trimester was significantly different (P <0.05) in the 6th, 4th and 6th cm group (P <0.05) No statistical significance (P> 0.05). There was no significant difference between the three groups (P> 0.05). The 6 cm postpartum hemorrhage was slightly higher than the other two groups, but the difference was not statistically significant (P> 0.05). Conclusion The improved 6 cm as an active starting point of the new labor map can significantly reduce the use of sedatives and oxytocin in the first stage of labor and effectively improve the outcome of maternal and infant, it is worth promoting the application.